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Financial Instruments (Tables)
12 Months Ended
Dec. 31, 2022
Derivative Instruments and Hedging Activities Disclosure [Abstract]  
Summary of the Contractual Maturities of Our Investments in Debt Securities Measured at Fair Value
The table below summarizes the contractual maturities of our investments in debt securities measured at fair value as of December 31, 2022:
 Maturities by Period
TotalLess Than
1 Year
1-5
Years
6-10
Years
More Than 10 Years
Fair value of debt securities$646.3 $86.2 $242.0 $104.0 $214.1 
Summary of the Fair Value of Available-for-Sale Securities in an Unrealized Gain or Loss Position
A summary of the amount of unrealized gains and losses in accumulated other comprehensive loss and the fair value of available-for-sale securities in an unrealized gain or loss position follows:
20222021
Unrealized gross gains$0.6 $9.7 
Unrealized gross losses49.2 5.2 
Fair value of securities in an unrealized gain position46.8 250.7 
Fair value of securities in an unrealized loss position568.7 290.2 
Schedule of Activity Related to Our Available-for-Sale Securities
Activity related to our available-for-sale securities was as follows:
202220212020
Proceeds from sales$132.9 $174.7 $264.8 
Realized gross gains on sales0.4 2.8 4.5 
Realized gross losses on sales9.7 1.7 8.2 
Schedule of Fair Value Information, Assets
The following table summarizes certain fair value information at December 31, 2022 and 2021 for investment assets measured at fair value on a recurring basis, as well as the carrying amount and amortized cost of certain other investments:
   Fair Value Measurements Using 
Carrying
Amount
Cost (1)
Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Fair
Value
December 31, 2022
Cash equivalents(2)
$657.4 $657.4 $650.4 $7.0 $ $657.4 
Short-term investments:
U.S. government and agency securities$30.8 $31.1 $30.8 $ $ $30.8 
Corporate debt securities53.4 53.5  53.4  53.4 
Asset-backed securities2.0 2.0  2.0  2.0 
Other securities58.6 58.6  39.1 19.5 58.6 
Short-term investments$144.8 
Noncurrent investments:
U.S. government and agency securities$146.4 $163.2 $146.4 $ $ $146.4 
Corporate debt securities213.9 235.8  213.9  213.9 
Mortgage-backed securities149.2 161.5  149.2  149.2 
Asset-backed securities50.6 52.5  50.6  50.6 
Other securities398.6 34.5  311.0 87.6 398.6 
Marketable equity securities683.6 484.7 683.6   683.6 
Equity investments without readily determinable fair values(3)
478.4 
Equity method investments(3)
781.1 
Noncurrent investments$2,901.8 
December 31, 2021
Cash equivalents(2)
$2,379.5 $2,379.5 $2,361.0 $18.5 $— $2,379.5 
Short-term investments:
U.S. government and agency securities$25.7 $25.6 $25.7 $— $— $25.7 
Corporate debt securities43.7 43.7 — 43.7 — 43.7 
Mortgage-backed securities0.2 0.2 — 0.2 — 0.2 
Asset-backed securities6.2 6.2 — 6.2 — 6.2 
Other securities14.3 14.3 — — 14.3 14.3 
Short-term investments$90.1 
Noncurrent investments:
U.S. government and agency securities$137.0 $136.8 $137.0 $— $— $137.0 
Corporate debt securities235.3 232.7 — 235.3 — 235.3 
Mortgage-backed securities109.8 108.1 — 109.8 — 109.8 
Asset-backed securities23.1 23.1 — 23.1 — 23.1 
Other securities108.1 22.2 — — 108.1 108.1 
Marketable equity securities1,279.7 487.0 1,279.7 — — 1,279.7 
Equity investments without readily determinable fair values(3)
548.1 
Equity method investments(3)
771.5 
Noncurrent investments$3,212.6 
(1) For available-for-sale debt securities, amounts disclosed represent the securities' amortized cost.
(2) We consider all highly liquid investments with a maturity of three months or less from the date of purchase to be cash equivalents. The cost of these investments approximates fair value.
(3) Fair value disclosures are not applicable for equity method investments and investments accounted for under the measurement alternative for equity investments.
Summary of Fair Value Information, Liabilities
The following table summarizes certain fair value information at December 31, 2022 and 2021 for our short-term and long-term debt:
 Fair Value Measurements Using 
Carrying
Amount
Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Fair
Value
Short-term commercial paper borrowings
December 31, 2022$(1,498.0)$ $(1,492.0)$ $(1,492.0)
December 31, 2021— — — — — 
Long-term debt, including current portion
December 31, 2022$(14,740.6)$ $(12,329.3)$ $(12,329.3)
December 31, 2021(16,884.7)— (18,157.7)— (18,157.7)
Schedule of Derivative Instruments At December 31, 2022, we had outstanding foreign currency forward commitments as follows, all of which have settlement dates within 180 days:
December 31, 2022
PurchaseSell
CurrencyAmount
(in millions)
CurrencyAmount
(in millions)
U.S. dollars2,516.2Euro2,369.2
Euro3,371.1U.S. dollars3,575.3
U.S. dollars199.8Chinese yuan1,396.2
Japanese yen14,139.9U.S. dollars105.3
U.S. dollars90.9Japanese yen12,212.2
British pounds207.1U.S. dollars254.7
Swiss franc101.4U.S. dollars109.3
Schedule of Effects of Risk-Management Instruments Were Recognized in Other–Net, (Income) Expense
The following effects of risk-management instruments were recognized in other–net, (income) expense:
202220212020
Fair value hedges:
Effect from hedged fixed-rate debt$(209.8)$(78.5)$86.9 
Effect from interest rate contracts209.8 78.5 (86.9)
Cash flow hedges:
Effective portion of losses on interest rate contracts reclassified from accumulated other comprehensive loss16.5 16.6 16.4 
Cross-currency interest rate swaps8.6 41.8 (102.4)
Net (gains) losses on foreign currency exchange contracts not designated as hedging instruments191.3 204.6 (123.7)
Total
$216.4 $263.0 $(209.7)
Schedule of Effective Portion of Risk-Management Instruments that was Recognized in Other Comprehensive Income (Loss), Net Investment Hedges
The effective portion of risk-management instruments that was recognized in other comprehensive income (loss) is as follows:
202220212020
Net investment hedges:
Foreign currency-denominated notes$324.9 $435.0 $(404.0)
Cross-currency interest rate swaps52.0 213.7 (207.9)
Foreign currency forward contracts(15.4)— — 
Cash flow hedges:
Forward-starting interest rate swaps391.5 97.6 (110.9)
Cross-currency interest rate swaps29.8 42.3 (53.7)
Schedule of Effective Portion of Risk-Management Instruments that was Recognized in Other Comprehensive Income (Loss), Cash Flow Hedges
The effective portion of risk-management instruments that was recognized in other comprehensive income (loss) is as follows:
202220212020
Net investment hedges:
Foreign currency-denominated notes$324.9 $435.0 $(404.0)
Cross-currency interest rate swaps52.0 213.7 (207.9)
Foreign currency forward contracts(15.4)— — 
Cash flow hedges:
Forward-starting interest rate swaps391.5 97.6 (110.9)
Cross-currency interest rate swaps29.8 42.3 (53.7)
Schedule of Fair Value, by Balance Sheet Grouping
The following table summarizes certain fair value information at December 31, 2022 and 2021 for risk-management assets and liabilities measured at fair value on a recurring basis:
 Fair Value Measurements Using 
Carrying
Amount
Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Fair
Value
December 31, 2022
Risk-management instruments
Interest rate contracts designated as fair value hedges:
Other noncurrent liabilities$(134.3)— $(134.3)— $(134.3)
Interest rate contracts designated as cash flow hedges:
Other receivables162.9 — 162.9 — 162.9 
Other noncurrent assets246.0 — 246.0 — 246.0 
Cross-currency interest rate contracts designated as net investment hedges:
Other receivables67.6 — 67.6 — 67.6 
Cross-currency interest rate contracts designated as cash flow hedges:
Other noncurrent assets53.1 — 53.1 — 53.1 
Foreign exchange contracts designated as hedging instruments:
Other current liabilities(38.3)— (38.3)— (38.3)
Foreign exchange contracts not designated as hedging instruments:
Other receivables26.6 — 26.6 — 26.6 
Other current liabilities(21.5)— (21.5)— (21.5)
Contingent consideration liabilities:
Other current liabilities(39.5)— — (39.5)(39.5)
Other noncurrent liabilities(70.6)— — (70.6)(70.6)
 Fair Value Measurements Using 
Carrying
Amount
Quoted Prices in Active Markets for Identical Assets
(Level 1)
Significant
Other
Observable
Inputs
(Level 2)
Significant
Unobservable
Inputs
(Level 3)
Fair
Value
December 31, 2021
Risk-management instruments
Interest rate contracts designated as fair value hedges:
Other receivables$4.8 $— $4.8 $— $4.8 
Other noncurrent assets78.3 — 78.3 — 78.3 
Other noncurrent liabilities(7.6)— (7.6)— (7.6)
Interest rate contracts designated as cash flow hedges:
Other noncurrent assets49.2 — 49.2 — 49.2 
Other noncurrent liabilities(31.7)— (31.7)— (31.7)
Cross-currency interest rate contracts designated as net investment hedges:
Other noncurrent assets31.3 — 31.3 — 31.3 
Other current liabilities(1.2)— (1.2)— (1.2)
Cross-currency interest rate contracts designated as cash flow hedges:
Other noncurrent assets33.2 — 33.2 — 33.2 
Other noncurrent liabilities
(1.3)— (1.3)— (1.3)
Foreign exchange contracts not designated as hedging instruments:
Other receivables9.9 — 9.9 — 9.9 
Other current liabilities(35.3)— (35.3)— (35.3)
Contingent consideration liabilities:
Other noncurrent liabilities(70.5)— — (70.5)(70.5)